针灸治疗妊娠中晚期妇女腰背和骨盆疼痛的影响

Effect of acupuncture in treatment of low back pain and pelvic pain in women during the second and the third trimesters of pregnancy

目的:评估针灸治疗妊娠中晚期妇女腰背和骨盆疼痛的疗效及安全性。方法:82例妊娠中晚期腰背和骨盆疼痛孕妇随机分为针灸组40例和对照组42例,针灸组根据辨证论治给予每周至少1次的针灸治疗持续5周,对照组未予治疗。每周采用视觉模拟评分(VAS)评估孕妇腰背和骨盆疼痛程度,记录针灸治疗即时反应、孕妇早产率、分娩方式和新生儿情况。结果:针灸组孕妇下腰腰背和骨盆疼痛程度比治疗前好转,较对照组也显著减轻,两组差异有统计学意义(P<0.05);早产率和剖宫产率低于对照组,差异有统计学意义(P<0.05),未发现严重不良反应。结论:针灸治疗可安全用于孕妇并减轻妊娠中晚期腰背和骨盆疼痛。

Objective： To evaluate the efficacy and safety of acupuncture in treatment of low back pain and pelvic pain in women during the second and the third trimesters of pregnancy. Methods ： Eighty - two women with low back pain and pelvic pain during the second and the third trimesters of pregnancy were randomly divided into acupuncture group （40 cases） and control group （42 cases） , the cases in acupuncture group were treated with acupuncture according to syndrome differentiation, once a week for five weeks ; while the cases in control group didnt receive any treatment; VAS was performed to evaluate the degrees of low back pain and pelvic pain; the instant response, premature delivery rate, delivery mode, and neonatal situation were recorded. Results： Low back pain and pelvic pain in acupuncture group af- ter treatment were relieved compared with before treatment and control group, there was statistically significant difference between the two groups （ P 〈 0. 05） ; the incidence rate of premature delivery and cesarean section rate in acupuncture group were statistically signifieantly lower than those in control group （ P 〈 0.05 ）, no adVerse reaction was found. Conclusion： Acupuncture is safe when used for pregnant women and it can relieve low back pain and pelvic pain in women during the second and the third trimesters of pregnancy.